DANIEL L SYVERSON DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

DANIEL L

Last Name

SYVERSON

Suffix

DPM

Business Name

DANIEL L SYVERSON DPM

Original Issue Date

09/15/1986

Effective Date

01/30/2025

Expiration Date

01/31/2027

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025